neurogenic bladder
Bladder dysfunction resulting from neurological conditions affecting nerve control of urination.
Full Definition
Neurogenic bladder refers to dysfunction of the urinary bladder due to disease or injury affecting the nervous system pathways that control urination. In pediatric patients, common causes include spina bifida, spinal cord injuries, cerebral palsy, and other congenital or acquired neurological conditions. The dysfunction can manifest as overactive bladder (detrusor overactivity), underactive bladder (detrusor underactivity), or detrusor-sphincter dyssynergia. Management focuses on protecting kidney function, achieving social continence, and preventing complications such as urinary tract infections and kidney damage. Treatment strategies include clean intermittent catheterization, anticholinergic medications, bladder augmentation, and various surgical interventions depending on the specific pattern of dysfunction and patient needs.
Usage
Usage note: Always hyphenated when used as an adjective. Can be used as 'neurogenic bladder dysfunction' for emphasis.
In Context
- "The patient's neurogenic bladder secondary to spina bifida requires aggressive management to preserve renal function." — Consultation report
- "Anticholinergic therapy was initiated to manage detrusor overactivity in the patient with neurogenic bladder." — Treatment plan